Individual
DR. ROSE T GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3355
(918) 458-3679
Mailing address
1671 NORTH PRIMROSE LANE, TAHLEQUAH, OK 74464
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
027579
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213920A
—
OK
05
—
150601001
—
AR
Enumeration date
07/27/2006
Last updated
06/30/2008
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